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Laparoscopic lysis for a patient with jejunostomy-related internal hernia following radical esophagectomy : a case report Kohei MIURA 1 , Kazuhito YAJIMA 1 , Yu SATO 1 , Tomoyuki KAKUTA 1 , Ryo TANAKA 1 , Katsuyoshi HATAKEYAMA 1 1Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences Keyword: 腹腔鏡手術 , 腸瘻 , 内ヘルニア pp.53-58
Published Date 2013/1/15
DOI https://doi.org/10.11477/mf.4426100894
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We report here a case of laparoscopic lysis of jejunostomy-related internal hernia following radical esophagectomy. A 58-year-old Japanese man was admitted to our hospital with severe nausea and vomiting. He had a history of radical esophagectomy with gastric tube reconstruction and tube jejunostomy for thoracic esophageal cancer four months ago. Chest-abdomino-pelvic enhanced CT revealed a markedly dilated gastric pull-up, duodenum and upper jejunum and whirl sign with centering jejunostomy. These findings were compatible with internal hernia occurring at the jejunostomy site. Emergency laparoscopic lysis and partial resection of the jejunum was undergone using the pneumoperitoneal method with three ports. The patient's postoperative course was uneventful and he was discharged 10 days after the operation. This case was easily diagnosable by preoperative CT as jejunostomy-related internal hernia, with the decision to operate and optimal site of port insertion also straightforward.


Copyright © 2013, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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